Electrooxidation as the anaerobic pre-treatment of fats: oleate conversion using RuO2 and IrO2 based anodes

Electrochemical treatment of oleate using RuO2 and IrO2 type dimensionally stable anodes in alkaline medium was performed to develop a feasible anaerobic pre-treatment of fatty effluents. The results showed that the pre-treated solutions over RuO2 were faster degraded by anaerobic consortium than the raw oleate solutions or the electrolysed solutions using IrO2. In batch experiments carried out with pre-treated solutions over RuO2 (100-500mg/L), no lag phases were observed before the methane production onset. On the other hand, raw oleate and pre-treated oleate over IrO2 had originated lag phases of 0-140 and 0-210h, respectively. This study demonstrated that it is advantageous to apply the electrochemical treatment carried out on the RuO2 type DSA in order to achieve a faster biodegradation of lipid-containing effluent and consequently to obtain a faster methane production.

Dosimetric audits of photon beams in radiation therapy centres in Rio de Janeiro, Brazil

Data related to 11 y of high-energy photon radiotherapy beam dosimetry are presented and analysed. Dosimetric evaluations were carried out using water phantoms and thimble ionisation chambers and are part of the radiation protection regulatory licensing process for medicine facilities of Brazilian government. Measurements were done at reference conditions for a standard absorbed dose of 100 cGy [cGy (=1 rad)]. The absolute per cent deviation between the measured and presumed delivered doses should not exceed the tolerance level of +/-3%. The first dosimetry survey from 1996 to 1998 showed a situation that was an object of concern. Deviations of 22 and 18.7% could be measured, although small deviations were also obtained. After 1998, the improvement in dosimetry quality control by the radiotherapy centres became clear, with most of the deviations situated within the +/-3% range. The decrease in the measured deviations presents the effective success of the Institute of Radiation Protection and Dosimetry audit programme for the improvement in the control of radiotherapy photon beams in Rio de Janeiro. Also, it is possible to recommend to Brazilian regulatory organisation a decrease in the tolerance level for dosimetric deviations in order to achieve a more precise dose delivered to patients in radiotherapy centres.

Avaliação da capacidade imunoestimulante e da estabilidade de um probiótico empregado em rações de cães

Foi avaliado um probiótico termo-resistente,liofilizado e encapsulado, composto de Bacilluscereus (ATCC 9634) 4,0 x l08 UFC/g e Bacillus subtilis(CCT 3131) 4,0 x l08 UFC/g, incorporado emuma ração comercial para cães com o objetivo deavaliar sua viabilidade durante o período de umano, e o seu efeito imunoestimulante quando fornecidoàs dietas. No primeiro experimento, foi avaliadaa sobrevivência das bactérias quantitativamentee qualitativamente depois de 3, 6, 9, 12 meses deestocagem. No segundo ensaio, foram utilizados 10cães (machos e fêmeas) com peso variando de 10a 30 kg, sem raças definidas, divididos em dois gruposde cinco animais cada. Todos os animais semtítulo sorológico anti-leptospira, foram vacinadoscontra os sorovares canicola e icterohaemorrhagiaeno início do experimento e mantidos em canis individuaisdurante 60 dias. Os animais do grupo Ireceberam ração extrusada acrescida de ProbióticoTR e, os animais do grupo II receberam a mesmaração extrusada sem o Probiótico TR, sendo mantidoscomo controles. Os títulos de anticorpos contraos sorovares canicola e icterohaemorrhagiae foramdeterminados antes da vacinação, no 15o, 30o e 60odia após, utilizando a reação de soro-aglutinaçãomicroscópica com antígenos vivos. Pelos resultadosda contagem total de esporos nas rações extrusadae farelada, o probiótico TR é notadamente estávelpor período superior a 12 meses. O estímuloda resposta imune foi verificado pela elevação dostítulos dos animais do grupo I no 15o, 30o e 60o diaapós a vacinação. Este fato é atribuído à ingestãodo probiótico TR, uma vez que entre os animais quenão receberam ração com probiótico TR (grupo II), a resposta imune foi menor e instável.

Electromyographic analysis of the arm muscles in "back support" exercises

This study aims at quantifying through electromyography the actions of the biceps brachii-BB (long head), triceps brachii-TB (long head) and deltoideus-DA (clavicular portion) muscles, during the going (G) and return (R) phases in "back support" exercises. Surface electrodes were placed at the muscles, according to DELAGI (1981). It was used a specific software and a A/D plate to take the signals. After being collected, the records were processed resulting in efficient values (RMS), were normalized by maximum isometric contraction (MVIC = 100%) and statistically analysed using the Friedman, DSM and Wilcox non-parametric tests. All the muscles presented electromyographic activity of the movements. The triceps brachii was the muscle with higher activity in both phases of the movement. It was concluded that the exercise is indicated for the arm muscle strength development.

Evaluation of the radiopacity of calcium hydroxide- and glass-ionomer-based root canal sealers

AIM

To evaluate the radiopacity of calcium hydroxide-based root canal sealers (Acroseal, Sealapex and Sealer 26), a glass-ionomer-based sealer (Activ GP Sealer) and a zinc oxide and eugenol-based sealer (Intrafill).

METHODOLOGY

Five disc-shaped specimens (10 x 1 mm) were fabricated from each material, according to the International Organization for Standardization (ISO) 6876/2001 standard. After setting of the materials, radiographs were taken using occlusal films and a graduated aluminum step-wedge varying from 2 to 16 mm in thickness. The dental X-ray unit (GE1000) was set at 50 Kvp, 10 mA, 18 pulses s(-1) and distance of 33.5 cm. The radiographs were digitized and the radiopacity compared with that of the aluminum step-wedge, using WIXWIN-2000 software (Gendex). Data (mm Al) were submitted to ANOVA and Tukey test.

RESULTS

Intrafill was the most radiopaque material (7.67 mm Al) followed by Sealer 26 (6.33 mm Al), Sealapex (6.05 mm Al) and Acroseal (4.03 mm Al). Activ GP was the least radiopaque material (1.95 mm Al, P < 0.05).

CONCLUSIONS

The sealers evaluated in this study had different radiopacities. However, except for the glass-ionomer-based sealer, all materials had radiopacity values above the minimum recommended by the ISO standard.

Electromyographic fatigue threshold of the biceps brachii: the effect of endurance time

Muscle fatigue can be a limiting factor to determine index as the electromyographic fatigue threshold (EMGFT) due the alterations in motivation and disconfots. This way, the purpose of this study was to identify the right biceps brachii and left biceps brachii obtained from repetitive elbow flexions at each 100% of total time. Nine healthy subjects performed the exercise named biceps curl until exhaustion with 25%, 35%, and 45%0 of one repetition maximum, in three different days. EMG amplitude (root mean square--RMS) was obtained for concentric contractions during these load levels and correlated with time to determine the slope values for each load and them determine the EMGFT. The EMGFT was obtained within of each 10% of total time and they were compared by analysis of variance. The results showed a progressive increase in RMS with time, for both muscles in all loads, characterizing the muscle fatigue process, and for the EMGFT values ware not found predominantly significant differences between the execution time, as well as between muscles (right biceps x left biceps). This protocol allowed to identify the EMGFT to both muscles during the biceps curl, which was similar at different percentage of total time, indicating the possibility to reduce the length of the contraction test without the need to maintain the contraction until exhaustion. Further studies are needed to evaluate the applicability of this method to determining the effects on performance.

Effect of electrochemical treatment of oleic acid on anaerobic digestion

Electrochemical pre-treatment of oleate on anaerobic digestion was investigated using two anaerobic filters (AF and AFm) working, respectively, with increasing concentrations of electrochemically pre-treated oleate and oleate. Influents containing 25% and 50% of chemical oxygen demand (COD) of these substrates did not cause relevant alterations in either digester's performance. Comparatively, the pre-treated oleate unit (AF) showed a higher gas production but a lower COD removal than AFm (2.0 vs 1.5 m(3) CH4 m(-3) d(-1) 76-85 vs 91-93% COD removal). The raised AFm COD removal together with the larger proportion of VSS in its effluent than in AF (5.69 vs 0.26 kg m(-3)) indicate that the biomass washout can be a consequence of the encapsulated solids by lipidic compounds that were not fairly degraded. Further increases of oleate in AFm feed (75 and 100% COD) led to decreases of biogas production to half and COD removal from values higher than 90% to 83-75%. The simultaneous increase of effluent VSS concentrations to 10-12 kg m(3) emphasizes the oleate negative effect. The use of pretreated oleate as the only carbon source did not influence negatively the AF behaviour in terms of methane production. COD removal was maintained at values higher than 80% and the effluent VSS at low concentrations (0.15 kg m(-3)). The significantly higher methane yield achieved by AF than AFm indicates a higher accumulation of oleate than pre-treated oleate. Therefore, electrochemical process stands for a suitable pre-treatment for lipid rich effluents, allowing the application of higher organic loads keeping a higher methane yield.

The burnout syndrome among Brazilian medical oncologists

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Background: The burnout syndrome (BNS) is prevalent among oncologists and is characterized by three components: emotional exhaustion, depersonalization and low personal accomplishment. BNS is associated with depression anxiety and impaired job performance. We aimed at evaluating the prevalence of BNS among brazilian medical oncologists and the variables that correlate with its presence. Methods: We sent three questionnaires (general, Maslach burnout questionnaire and an opinion survey) to the 458 members of the Brazilian Society of Medical Oncology (SBOC) and we attempted to increase the amount of answers by an email recall to all members. In order to evaluate correlations between variables we used Fisher, Chisquare and ANOVA tests, and considered significant only p values lower than 0.05. We used logistical regression to conduct multivariate analysis, having the presence of BNS as a dependent variable. Results: The response rate was 22.3%. When asked if they would choose oncology as a career again, 90 (88.25%) answered affirmatively. According with the criteria proposed by Grunfeld, that considers BNS present when at least one dominion is severely abnormal, the incidence of this syndrome was 68.6% (95% CI: 58,68% to 77.45%). By univariate analysis, we observed a negative significant correlation of BNS with having regular physical activity and/or a hobby, reporting to have a religious affiliation and with willingness to choose oncology as a career again. We found a positive significant correlation of BNS with living together with someone and reporting vacation time as insufficient. By multivariate analysis having a hobby/physical activity, a religious affiliation, living with a companion and rating vacation’s time as sufficient were all correlated significantly and independently with BNS. Conclusions: BNS is prevalent among brazilian medical oncologists, nevertheless most of them would choose medical oncology as a career again. To have a hobby and/or a regular physical activity, enough time of vacations and a religious affiliation correlate negatively with the presence of BNS and are potentially modifiable preventive measures to decrease the frequency of this syndrome.

No significant financial relationships to disclose.

Dynamic and isometric protocols of knee extension: effect of fatigue on the EMG signal

The objective of this study was to analyze the electromyographic (EMG) signal behavior of rectus femoris (RF), vastus medialis (VM), vastus lateralis (VL) and biceps femoris (caput longum) (BFCL) from nine women during fatiguing dynamic and isometric knee extensions tests and to determine their EMGFT (Electromyographic Fatigue Threshold). Surface electrodes, biological signal acquisition module, analogical-digital converter board and specific software were used. The RMS (Root Mean Square) values obtained from concentric phase (80 to 30 degrees) of the dynamic knee extension and from isometric contraction were correlated with time on each load by linear regression analysis. The respective slopes were correlated with the correspondent load to determine the EMGFT. Force (Kgf) and median frequency--MF (Hz) obtained during MIVC (Maximal Isometric Voluntary Contraction) performed before and after the fatiguing tests were calculated in Matlab environment. The results demonstrated that the endurance time decreases with higher loads, the EMG amplitude increase with time and was greater at higher loads, between muscles in dynamic exercise the RF and VL showed higher slopes, and in isometric exercise the VL showed the same behavior. The EMGFT values were similar in both exercises; the force values predominantly decreased after fatiguing tests; however the MF only decreased after some loads. The protocols proposed allowed standardizing protocols at least to induce the fatigue process and to determine the EMGFT as an endurance indicative, which may be used to evaluate the effectiveness of rehabilitative or training interventions indicated to reduce muscle weakness and fatigue.

Electromyographic validation of the pectoralis major and deltoideus anterior muscles in inverted "flying" exercises with loads

Inverted 'flying" exercise with external loads of 25, 50, 75 and 100% of each individual maximum load in the pectoralis major and deltoideus anterior muscles was electromyographically analyzed in eleven male volunteers, using surface electrodes MEDI-TRACE-200 connected to a biological signals acquisition module coupled to a PC/AT computer. Electromyographic signals were processed and the effective values obtained were standardized through maximum voluntary isometric contraction. When the concentric phase of each muscle with the same load was statistically compared with the eccentric phase, it was observed that for all loads all the muscles presented significant electromyographic difference, and that the concentric phase was always higher. By analyzing the different loads for each muscle, it was noticed that in the concentric phase all the muscles presented significant electromyographic activity, being it higher with maximum load. When the effect of each load on different muscle in the concentric and eccentric phases was analyzed, the muscles presented a distinct activity profile.

Muscles and lungs: fatal attraction, but time for intervention

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Electromyographic fatigue threshold of the biceps brachii muscle during dynamic contraction

The purpose of this study was to identify the Electromyographic Fatigue Threshold (EMGFT) of the biceps brachii muscle bilaterally during the elbow flexion in tests performed in different times. 30 second test, 1 minute test and fatiguing test, in concentric (CC) and eccentric (EC) phases. Nine healthy young men performed the elbow flexion with loads corresponding at 25%, 35% and 45% of the one repetition maximum (1-RM) in separate days. The results indicated that the test applied for the biceps brachii muscle during elbow flexion induced a progressive increment of EMG activity with time indicating muscle fatigue and allowed the identification of the EMGFT. The three tests presented no difference of EMGFT between CC and EC phases bilaterally.

Effect of the aerobic capacity on the validity of the anaerobic threshold for determination of the maximal lactate steady state in cycling

The maximal lactate steady state (MLSS) is the highest blood lactate concentration that can be identified as maintaining a steady state during a prolonged submaximal constant workload. The objective of the present study was to analyze the influence of the aerobic capacity on the validity of anaerobic threshold (AT) to estimate the exercise intensity at MLSS (MLSS intensity) during cycling. Ten untrained males (UC) and 9 male endurance cyclists (EC) matched for age, weight and height performed one incremental maximal load test to determine AT and two to four 30-min constant submaximal load tests on a mechanically braked cycle ergometer to determine MLSS and MLSS intensity. AT was determined as the intensity corresponding to 3.5 mM blood lactate. MLSS intensity was defined as the highest workload at which blood lactate concentration did not increase by more than 1 mM between minutes 10 and 30 of the constant workload. MLSS intensity (EC = 282.1 +/- 23.8 W; UC = 180.2 +/- 24.5 W) and AT (EC = 274.8 +/- 24.9 W; UC = 187.2 +/- 28.0 W) were significantly higher in trained group. However, there was no significant difference in MLSS between EC (5.0 +/- 1.2 mM) and UC (4.9 +/- 1.7 mM). The MLSS intensity and AT were not different and significantly correlated in both groups (EC: r = 0.77; UC: r = 0.81). We conclude that MLSS and the validity of AT to estimate MLSS intensity during cycling, analyzed in a cross-sectional design (trained x sedentary), do not depend on the aerobic capacity.

Reactive phenotypes after acute and chronic NK-cell activation

Several phenotypic changes have been shown to occur after NK-cell stimulation, involving molecules that have been proved to regulate NK-cell migration into tissues and NK-cell activation and proliferation as well as target cell recognition and killing. Here, we review the reactive phenotypes observed in vivo after acute and chronic NK-cell activation.

Spectral analysis of the electromyograph of the erector spinae muscle before and after a dynamic manual load-lifting test

The aim of the present study was to assess the spectral behavior of the erector spinae muscle during isometric contractions performed before and after a dynamic manual load-lifting test carried out by the trunk in order to determine the capacity of muscle to perform this task. Nine healthy female students participated in the experiment. Their average age, height, and body mass (+/- SD) were 20 +/- 1 years, 1.6 +/- 0.03 m, and 53 +/- 4 kg, respectively. The development of muscle fatigue was assessed by spectral analysis (median frequency) and root mean square with time. The test consisted of repeated bending movements from the trunk, starting from a 45 masculine angle of flexion, with the application of approximately 15, 25 and 50% of maximum individual load, to the stand up position. The protocol used proved to be more reliable with loads exceeding 50% of the maximum for the identification of muscle fatigue by electromyography as a function of time. Most of the volunteers showed an increase in root mean square versus time on both the right (N = 7) and the left (N = 6) side, indicating a tendency to become fatigued. With respect to the changes in median frequency of the electromyographic signal, the loads used in this study had no significant effect on either the right or the left side of the erector spinae muscle at this frequency, suggesting that a higher amount and percentage of loads would produce more substantial results in the study of isotonic contractions.

Electromyographic analysis of the arm muscles in "front support" exercises

The electromyographic activity of the biceps brachii--BB (long head), triceps brachii--TB (long head) and deltoideus--DA (clavicular portion) muscles, during the going (G) and return (R) phases in "front support" exercise, as well the efficacy of this exercise for the development of these muscles strength were studied in 10 male volunteers. The values were normalized through maximum voluntary isometric contraction (MVIC = 100%) and statistically analyzed using the Friedman, DMS and Wilcoxon non-parametric test. A value of p < or = 0.05 indicated significance (Campos, 1983). All the muscles presented higher electromyographic activity in the return phase of the movement. The triceps brachii was the muscle which had higher activity in both phases of the movement. It was concluded that the "front support" exercise is efficient for strength development mainly in the triceps brachii muscle.

Electromyographic analysis of the pectoralis major and deltoideus anterior muscles in horizontal "flyer" exercises with loads

The effective activity of the pectoralis major and deltoideus anterior muscles in horizontal "flyer" exercises with external loads of 25, 50, 75 and 100% of the maximum load was studied in 11 male volunteers. The electromyographic analysis was done by using MEDI-TRACE-200 surface electrodes connected to a biological signal acquisition mode coupled to a PC/AT computer. The electromyographic signals were processed and the values obtained were normalized through maximum voluntary isometric contraction. It was statistically observed that in all types and loads of this exercise, the muscles presented significant differences in the concentric and eccentric phases. In the concentric phase, when different loads were compared, the muscles were more active with 75 and 100% of the maximum load, while in the eccentric phase, higher activity was observed with 100% of the maximum load. By analyzing each load effect in the concentric phase, it was verified that the muscles on the left side were more active than those on the right side with 25, 75 and 100% of the maximum load.

Electromyographic fatigue threshold of erector spinae muscle induced by a muscular endurance test in health men

PURPOSE

To identify the electromyographic fatigue threshold in the erector spinae muscle.

METHODS

Eight 19 to 24-year-old male volunteers participated in this study, in which surface electrodes were used, as well as a biological signals acquisition module (Lynx) with a sampling frequency of 1000 Hz, a 1000 times gain, a 20 Hz high pass filter and a 500 Hz low pass filter. The test consisted of repeated isometric contractions of the erector spinae muscle in a 45 degrees hip flexion posture, with 30%, 40%, 50% and 60% of the maximum voluntary isometric contraction.

RESULTS

A positive correlation of the RMS (root mean square) value as a function of time was found for most of the subjects with 40% (N = 6), 50% (N = 7) and 60% (N = 8) loads of the maximum voluntary isometric contraction.

CONCLUSIONS

It was concluded, from this study, that the proposed protocol provides evidence, through the electromyographic signal, of the development of fatigue in the erector spinae muscle with loads of 40%, 50% and 60% of the maximum voluntary isometric contraction. The protocol also allows the electromyographic fatigue threshold and its probable applicability in the diagnosis of this phenomenon during repetitive activities to be determined.

Electromyographic validation of the double pulley equipment during movements of the lower limbs

The double pulley equipment was tested on ten male volunteers during contraction of the semitendinosus and biceps femoris (caput longum) muscles in the following movements of the lower limbs: 1) hip extension with extended knee and erect trunk, 2) hip extension with flexed knee and erect trunk, 3) hip extension with flexed knee and erect trunk, 3) hip extension with extended knee and inclined trunk, 5) hip abduction along the midline, 7) hip abduction with extension beyond the midline, 8) adduction with hip flexion beyond the midline, 8) adduction with hip flexion beyond the midline, and 9) adduction with hip extension beyond the midline. The myoelectric signals were taken up by Lec Tec surface electrodes connected to a 6-channel Lynx electromyographic signal amplifier coupled with a computer equipped with a model CAD 10/26 analogue digital conversion board and with a specific software for signal recording and analysis. The semitendinosus and biceps femoris muscles presented the highest potentials in movements 1; 2; 7, 8 and 9, whereas the potentials in the remaining movements were negligible. The pattern of activity of the semitendinosus and the biceps femoris was similar in exercises 1, 2, 3, 4 and 8. The potentials of the semitendinosus prevailed in movements 5, 6 and 7, and the strongest potentials observed in movement 9 were those of the biceps femoris.

Dens invaginatus type III: report of a case and 10-year radiographic follow-up

AIM

The purpose of this article is to report the 10-year follow-up of a right mandibular central incisor with 'dens invaginatus' that was root filled.

SUMMARY

'Dens invaginatus' is a rare malformation of teeth, probably resulting from an infolding of the dental papilla during tooth development. It has alternatively been called 'dens in dente' and 'dilated composite odontome'. Radiographic examination may clearly demonstrate this feature, although no signs may be recognized clinically. If no entrance to the invagination can be detected and there are no signs of pulp pathosis, then no treatment is required other than fissure sealing of the invagination. In deep invaginations, it is likely that root-canal treatment may be required. Occasionally, when the tooth has an immature root, apexification is necessary. Root-canal treatment of a right mandibular central incisor with 'dens invaginatus' is described along with 10-year follow-up.

KEY LEARNING POINTS

Both clinical and radiographic examinations are necessary to determine morphological features of teeth before root-canal treatment. Sensibility testing to determine the pulp condition is critical prior to treatment.

Merkel cell carcinoma of the eyelid: a case report

A 22-year-old woman who presented with a tumour of the upper eyelid with clinical, histological, immunohistochemical and ultrastructural features of a Merkel cell carcinoma is reported. This is a unique case of Merkel cell carcinoma in such a young patient. This neuroendocrine tumour is typically found in the elderly. It can grow rapidly, has the potential for local recurrence and early metastatic spread. The authors recommend wide resection of the primary site, which proved effective in this case.

Primary angioplasty for acute myocardial infarction complicated by cardiogenic shock on admission

AIM

To evaluate primary angioplasty results for the treatment of acute myocardial infarction complicated by cardiogenic shock on admission.

POPULATION AND METHODS

Retrospective analysis of 11 consecutive patients with acute myocardial infarction complicated by cardiogenic shock (defined as systolic blood pressure below 80 mmHg and signs of hypoperfusion, despite volume expanders and/or vasopressors infusion) treated with primary angioplasty. Clinical characteristics, angiographic data, hospital outcome and follow-up were analysed.

RESULTS

There were ten males (90.9%) with a mean age of 66 years. Eight patients had anterior wall myocardial infarction and three patients had inferior wall myocardial infarction, two of which with extension to the right ventricle. The mean time between symptom onset and angioplasty was 3.5 hours. Three patients had left main coronary artery occlusion; three patients had single vessel disease and five patients had multivessel disease. The angiographic success rate (open infarct-related artery and TIMI III flow) was 90.9% (ten patients). Stent implantation was performed in five patients. Abciximab was given in five patients. In-hospital mortality rate was 36.4% (four patients). The surviving patients had a mean ejection fraction of 43.1% on discharge. In a mean follow-up of 16.2 months, one patient had coronary artery bypass graft and one had stroke.

CONCLUSION

Based on published data, our experience with this short series of cases shows that primary angiography should be regarded as a positive option for the treatment of acute myocardial infarction complicated by cardiogenic shock.

[Clinical correlation of angiographic restenosis, isolated or associated with stress test variables, with a population that had stent implantation]

OBJECTIVE

We analyse the value of the clinical data, isolated or associated with the stress EKG (SEKG) variables, in the detection of angiographic restenosis (AR: lesion > 50%), in a group of patients (pts) submitted to coronary angioplasty (PTCA) with stenting.

POPULATION AND METHODS

105 patients were followed prospectively (male: 87%; age: 56 +/- 10); clinical evaluation was performed in the 1st, 3rd and 6th month, SEKG in the 4th month and recatheterization for angiographic control in the 6th month. The vascular risk factors, cause of admission, medication at discharge, angiographic and procedure characteristics were analysed.

RESULTS

The most frequent vascular risk factors were hypertension (42%), smoking (64%), and dyslipidemia (52%); 30% had previous ischemic heart disease. The indication for PTCA was myocardial infarction (direct PTCA or residual ischemia) in 42% and angina in 59%. All patients were discharged with AAS and ticlopidine, 38% with beta-blockers, 59% with calcium channel blockers and 92% with nitrates. Thirty-eight percent had multivessel disease. They were submitted to dilatation with the implantation of 128 stents in 199 vessels. An intraaortic balloon pump was used in 13% and Abciximab in 47% of the procedures. In the recatheterization for angiographic control in the sixth month, 30 patients had angiographic restenosis (AR rate = 25.2%). In the clinical evaluation, 22 patients (20.9%) had angina, and 14 of them had angiographic restenosis (clinical restenosis rate = 13.3%). In the 16 asymptomatic patients with AR, 5 had positive SEKG.

CONCLUSION

The presence of angina in a group of patients submitted to coronary angioplasty with stenting has a low sensitivity (54%), a good specificity (88%), a positive predictive value of 64% and negative of 83% in the detection of angiographic restenosis. The association with clinical data improves sensitivity (83%), with a decrease in specificity (61%).